Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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^442 3. Most commonly occur with SSRIs: b. h. g. c. f. a.^ ●PhotosensitivityTa c hyc a r d i aHeadacheWeight ga i nInsomniaWeight loss^ Teach relaxation techniques to use before bedtime. Encourage increased level of activity, if appropriate. Carefully monitor blood pressure and pulse rate Administer analgesics, as prescribed. Provide instructions for reduced-calorie diet. Instruct client to avoid caffeinated food and drinks. If relief is not achieved, physician may order another Administer or instruct client to take dose early in Ensure that client wears sunblock lotion, protective Ensure that client is provided with caloric intake the day.sufficlothing, and sunglasses while outdoors. physician. least 4 hours apart. Bupropion has been associated with and rhythm, and report any signifia relatively high incidence of seizure activity in anorexic and cachectic clients. antidepressant.PSYCHOTROPIC MEDICATIONS cient to maintain desired weight.; agitation(may occur early in therapy) ; arrhythmias^ cant change to the
2 2506_Ch26_417-446.indd 1442 506 Ch 26 417 - 446 .ind *d 1 e. d. 442 that potentiate serotonergic neurotransmission are used concurrently [see “Interactions”]). SexualSerotonin Men may report abnormal ejaculation or impotence. Most frequent symptoms include changes in mental If side effect becomes intolerable, a switch to another Caution should be taken in prescribing these drugs for After prolonged use, some clients may gain weight on Weigh client daily or every other day, at the same time The physician will prescribe medications to block Women may experience delay or loss of orgasm. Discontinue offending agent immediately. status, restlessness, myoclonus, hyperreflSSRIs.anorexic clients.dia, labile blood pressure, diaphoresis, shivering, and antidepressant may be necessary. tremors.serotonin receptors, relieve hyperthermia and muscle and on the same scale if possible.^ dysfunction^ syndrome (may occur when two drugs exia, tachycar- 1 10/1/10 9:39:27 AM 0 / 1 / 10 9 : 39 : 27 AM

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